| NPI | 1144239427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MA 160125) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 160125) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 160125) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-11-03 |