| NPI | 1659452811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01085848A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 41777) |
| 208000000X Pediatrics (Licence: IN 01085848A) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: MN 41777) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-04-28 |