| NPI | 1780845198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 92723) |
| Additional Taxonomies | 2080P0204X Pediatrics, Pediatric Emergency Medicine (Licence: OH 35-091073) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35-091073) | |
| Enumeration Date | 2008-06-18 |
| Last Update Date | 2022-09-23 |