| NPI | 1508054446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01075923A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.098001) |
| 208000000X Pediatrics (Licence: IN 01075923A) | |
| 208000000X Pediatrics (Licence: OH 57012659) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2022-07-21 |