| NPI | 1972588200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IN 01052475A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01052475A) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2017-10-02 |