| NPI | 1598756827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01024860A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01024860) |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2011-11-09 |