| NPI | 1124450952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD479970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 273921) |
| 208000000X Pediatrics (Licence: PA MD479970) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 273921) | |
| Enumeration Date | 2013-08-02 |
| Last Update Date | 2023-06-15 |