NPI | 1457465361 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 1065536A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01065536A) |
Enumeration Date | 2006-08-18 |
Last Update Date | 2023-11-20 |