| NPI | 1316038466 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: FL ME91110) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME91110) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2023-03-07 |