| NPI | 1598868002 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301081355) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301081355) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2020-03-05 |