| NPI | 1699754499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01079562) |
| Additional Taxonomies | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: IN 01079562A) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2023-07-03 |