| NPI | 1043276009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: OH 35.064754) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35064754) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2025-06-26 |