| NPI | 1639311939 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01070279A) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301094019) | 
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301094019) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: KY 44874) | |
| Enumeration Date | 2009-04-01 | 
| Last Update Date | 2022-12-19 |