| NPI | 1588689889 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01079139A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01079139A) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: WI 35550) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2017-08-29 |