| NPI | 1073958534 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 30032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 3032) |
| 208000000X Pediatrics (Licence: IN 01078897A) | |
| Enumeration Date | 2013-05-09 |
| Last Update Date | 2025-09-12 |