| NPI | 1548629777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2021-01214) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ R75398) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-02-16 |