| NPI | 1780633248 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: LA MD.06458R) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NM MD2014-0984) |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: WI 65827-20) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-01-04 |