| NPI | 1831612993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME156145) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME156145) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-08-15 |