| NPI | 1104880079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2012-01911) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 216985-1) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 216985) | |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2023-07-12 |