| NPI | 1508061136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 02003923A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.118625) |
| 208000000X Pediatrics (Licence: IN 02003923A) | |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2023-04-26 |