| NPI | 1871901223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD459233) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD459233) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 79879) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2025-00214) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35151905) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2025-07-24 |