| NPI | 1629069067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01050364A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01050364B) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2023-11-27 |