| NPI | 1659391506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01064039A) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: AZ 27466) |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA C50724) | |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CO 33879) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2018-05-31 |