| NPI | 1518354224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: SC 92395) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: LA 309907) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 309907) | |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2024-08-07 |