| NPI | 1821096462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01044878A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01044878) |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-09-02 |