| NPI | 1932482312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01074088A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IL 125.057740) |
| 208000000X Pediatrics (Licence: IL 036-137624) | |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2023-10-09 |