| NPI | 1003884792 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NM MD2014-0873) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX J2461) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NM MD2014-0873) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX J2461) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2022-04-25 |