| NPI | 1144433806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WI 74278-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.008934) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101264442) | |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2022-12-05 |