| NPI | 1730135070 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: SD 3549) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: SD 3549) |
| 208000000X Pediatrics (Licence: IA 30538) | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-03-25 |