| NPI | 1356845317 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: OH 34.014944) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 34.014944) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2021-06-07 |