| NPI | 1710418371 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MN 75059) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MN 75059) |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2023-08-10 |