| NPI | 1295816841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2018039282) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101240233) |
| 208000000X Pediatrics (Licence: MO 2018039282) | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2021-01-18 |