| NPI | 1922018548 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MN 66508) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301083611) |
| 208000000X Pediatrics (Licence: MN 66508) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301083611) | |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2024-01-16 |