| NPI | 1972866192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: HI 17414) |
| Additional Taxonomies | 208D00000X General Practice (Licence: HI MD-17414) |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2023-08-28 |