| NPI | 1609840578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01045379A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01045379) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2025-06-11 |