| NPI | 1295116762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL MD.37032) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.37032) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2022-02-01 |