| NPI | 1437511128 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TN 4688) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA OT019098) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2022-07-20 |