| NPI | 1750510293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA C172970) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301109495) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO DR.0064007) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: MI 4301109495) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301109495) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2021-12-28 |