| NPI | 1952450975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MS 09631) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NC 31573) |
| 208000000X Pediatrics (Licence: NC 31573) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 31573) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2022-07-21 |