| NPI | 1760422778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01051071A) |
| Additional Taxonomies | 174400000X Specialist (Licence: IN 01051071A) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-04-18 |