| NPI | 1932106317 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01042344A) | 
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01042344) | 
| Enumeration Date | 2005-06-30 | 
| Last Update Date | 2022-10-07 |