| NPI | 1801846191 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.085674) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH BS085674) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WI 65599-20) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2023-10-12 |