| NPI | 1053347989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WI 46902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 46902) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-06-14 |