| NPI | 1598711905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01051062A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01051062A) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2018-04-18 |