| NPI | 1578580031 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 33036) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2000154996) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: MO 2000154996) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2024-01-03 |