| NPI | 1396879292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01037887) |
| Additional Taxonomies | 208D00000X General Practice (Licence: IN 01037887A) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2023-07-06 |