| NPI | 1396235446 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 276079) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 291600) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2024-10-31 |