| NPI | 1699260026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2021025590) |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: IN 01093611A) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-06-10 |