NPI | 1427258193 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: IN 01063393A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01063393A) |
Enumeration Date | 2007-07-20 |
Last Update Date | 2024-06-26 |