| NPI | 1346734316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: KS 05-49123) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019029233) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2019029233) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2019029233) | |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2025-08-20 |