| NPI | 1447638689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.127952) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME149934) |
| 208000000X Pediatrics (Licence: OH 35127952) | |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2024-06-20 |