| NPI | 1457677403 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01074280A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01074280A) |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2020-12-29 |