| NPI | 1144587437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 59465) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 59465) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 59465) | |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2020-12-09 |