| NPI | 1538574975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-15022) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-15022) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AR E-15022) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-06-06 |