| NPI | 1154502573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A101940) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A101940) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2026-04-23 |