| NPI | 1821007824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2001031553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2001031553) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2024-05-25 |