| NPI | 1407846678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME118579) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 209793) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 209793) | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2023-12-29 |