| NPI | 1629268289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX U2127) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR E-6670) |
| 208000000X Pediatrics (Licence: MI 4301085877) | |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2026-03-27 |