| NPI | 1447220843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01075847A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 23209) |
| 207R00000X Internal Medicine (Licence: IN 01075847A) | |
| 208000000X Pediatrics (Licence: OK 23209) | |
| 208000000X Pediatrics (Licence: IN 01075847A) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2019-10-21 |