| NPI | 1033147335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00018470) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: HI 3276) |
| 208000000X Pediatrics (Licence: CA A34951) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: HI 3276) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-09-11 |