| NPI | 1427092238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: ND 10772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01059605A) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-03-29 |