| NPI | 1225216898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN MD49787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD49787) |
| 208000000X Pediatrics (Licence: MI 4301089938) | |
| 208000000X Pediatrics (Licence: PA MT198093) | |
| 208000000X Pediatrics (Licence: PA MD440441) | |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2022-03-31 |