| NPI | 1942262290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: VA 0101258832) |
| Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MO 2009036123) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2009036123) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OK 19743) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MN 37486) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2023-08-22 |