| NPI | 1447235684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX H9947) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX H9947) |
| 208000000X Pediatrics (Licence: TX H9947) | |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2024-07-16 |