| NPI | 1598779811 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME143063) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.057653) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME74522) | |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2023-11-30 |