| NPI | 1740226497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101039613) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 032667) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-08-10 |