| NPI | 1912962200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: PA MD073398L) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: PA MD073398L) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2020-08-21 |