| NPI | 1174970453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA MD-49771) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA MD-49771) |
| Enumeration Date | 2016-05-17 |
| Last Update Date | 2023-10-08 |