| NPI | 1740555754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PR 18974) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PR 18974) |
| Enumeration Date | 2012-03-09 |
| Last Update Date | 2024-07-26 |