| NPI | 1194161869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR E-11842) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME127219) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2019-07-01 |