| NPI | 1508817206 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX K3320) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-06-08 |