| NPI | 1467035451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4351047910) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DE C7-0018653) |
| Enumeration Date | 2021-04-28 |
| Last Update Date | 2024-06-06 |