| NPI | 1912948795 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2008-00115) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 2008-00115) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-12-18 |