NPI | 1629310800 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO DR.0074513) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01084079A) |
207LC0200X Anesthesiology, Critical Care Medicine (Licence: IN 01084079A) | |
Enumeration Date | 2013-03-26 |
Last Update Date | 2025-04-03 |