| NPI | 1902253891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01093764A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD467949) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2024-08-07 |