| NPI | 1427014984 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: VA 0101039382) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MD D0060604) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DC MD32937) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101039382) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2021-12-29 |