| NPI | 1356622674 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: IN 01078867A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01078867A) |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine (Licence: NY 250833) | |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2022-02-14 |