| NPI | 1689637589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME91014) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME0091014) |
| 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: FL ME0091014) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2023-05-15 |