| NPI | 1558616250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.126456) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IN 99080699A) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2021-04-12 |