| NPI | 1023728128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A183470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A183470) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2024-04-27 |