| NPI | 1649225186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01024389A) |
| Additional Taxonomies | 2080C0008X Pediatrics Child Abuse Pediatrics (Licence: IN 01024389) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-04-13 |