NPI | 1659549681 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 01064218A) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01064218A) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2019-05-23 |