| NPI | 1952748659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101260132) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101260132) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2021-08-24 |