| NPI | 1891983243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01062399A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 19931) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2023-06-12 |