| NPI | 1952795965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL MD.42269) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.42269) |
| 208000000X Pediatrics (Licence: OH 35.133110) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2021-05-28 |