| NPI | 1942861737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IN 01091267A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351045629) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2025-09-22 |