| NPI | 1730447723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: PA MD476745) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2019024456) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MO 2019024456) | |
| Enumeration Date | 2012-04-26 |
| Last Update Date | 2022-07-11 |