| NPI | 1346734316 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MO 2019029233) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MO 2019029233) |
| Enumeration Date | 2018-06-21 |
| Last Update Date | 2024-09-12 |