| NPI | 1881777225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 233017) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 233017) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2023-12-29 |