| NPI | 1316920523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: RI MD19157) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 042200) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2023-07-17 |