| NPI | 1568475853 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME95188) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0095188) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2023-03-07 |