| NPI | 1912404427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01089102A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036162385) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: IN 01089102A) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2023-10-05 |