| NPI | 1821061060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CO DR.0056313) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: AZ 18866) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2023-08-14 |