| NPI | 1659679934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301098757) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098757) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: ZZ r14312) | |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2019-06-24 |