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 |