| NPI | 1366671323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01072320A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01072320A) |
| 208000000X Pediatrics (Licence: KY 42646) | |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2016-02-22 |