| NPI | 1316151814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN 47168) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.091899) |
| 208000000X Pediatrics (Licence: TN 47168) | |
| 207RA0201X Internal Medicine, Allergy & Immunology (Licence: TN 47168) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2023-07-11 |