| NPI | 1295260016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OR MD215246) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD215246) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 01083902A) | |
| Enumeration Date | 2017-04-30 |
| Last Update Date | 2023-07-01 |