| NPI | 1447428081 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01083944A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301089883) |
| Enumeration Date | 2008-02-18 |
| Last Update Date | 2021-12-31 |