| NPI | 1881044386 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01094866A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD468109) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2025-02-11 |