| NPI | 1023006509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: TX J4693) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX J4693) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX J4693) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: TX J4693) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2023-08-31 |