| NPI | 1427164904 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 9700474) |
| Additional Taxonomies | 174400000X Specialist (Licence: NC 9700474) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-04-10 |