| NPI | 1255303525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101-047216) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-047216) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 29353) | |
| 208000000X Pediatrics (Licence: NC 29353) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-04-30 |