| NPI | 1366498024 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TX N5086) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX N5086) |
| 207K00000X Allergy & Immunology (Licence: TX N5086) | |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2024-02-08 |