| NPI | 1124656962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA MD-57200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-57200) |
| Enumeration Date | 2020-03-28 |
| Last Update Date | 2026-08-06 |