| NPI | 1851387724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: IN 01059883A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01059883A) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2019-09-04 |