| NPI | 1568728863 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01076973A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 01076973A) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2020-09-11 |