| NPI | 1245527159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301098814) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098814) |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2025-06-27 |