| NPI | 1952750572 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AK 171787) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: DC MD046123) |
| Enumeration Date | 2016-06-04 |
| Last Update Date | 2021-10-25 |