| NPI | 1609373547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL MD.42772) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.42772) |
| Enumeration Date | 2018-04-08 |
| Last Update Date | 2021-08-09 |