| NPI | 1659527786 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0206X Pediatrics, Pediatric Gastroenterology (Licence: IN 01073701A) | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01073701A) | 
| 208000000X Pediatrics (Licence: MD D0074772) | |
| Enumeration Date | 2008-08-08 | 
| Last Update Date | 2022-05-23 |