| NPI | 1891008033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WV 3354) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 20A15272) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2022-04-06 |