| NPI | 1184184608 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2025031593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MD D0093346) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2025-08-26 |