| NPI | 1699982553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01070711A) |
| Additional Taxonomies | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine (Licence: IN 01070711A) |
| 208000000X Pediatrics (Licence: OH 35.090842) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-06-01 |