| NPI | 1376514430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01027199A) |
| Additional Taxonomies | 146D00000X Personal Emergency Response Attendant (Licence: IN 01029199A) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2024-07-12 |