| NPI | 1932126968 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IN 01081273A)  | 
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35-068239)  | 
| Enumeration Date | 2006-07-16 | 
| Last Update Date | 2021-03-11 |