| NPI | 1831739846 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2020011566) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: ZZ 24910) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2022-07-21 |