| NPI | 1427589811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: AR E-12481) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: AR E-12481) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-07-31 |