| NPI | 1538378724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25IA12925300) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301102195) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IN 11013228A) | |
| 207R00000X Internal Medicine (Licence: MI 4301102195) | |
| 208000000X Pediatrics (Licence: MI 4301102195) | |
| 207R00000X Internal Medicine (Licence: IN 01064837A) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2026-02-02 |