| NPI | 1598792079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA G87593) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 36250) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CA G87593) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MN 36250) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2024-04-27 |