| NPI | 1891358966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01087656A) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: IN 01087656A) |
| Enumeration Date | 2019-04-15 |
| Last Update Date | 2023-01-23 |