| NPI | 1235113317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101246124) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 9701576) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2024-06-11 |