| NPI | 1811036460 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01050758A) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 1050758) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-05-23 |