| NPI | 1245465509 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX M6298) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX M6298) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2024-05-01 |