| NPI | 1043206162 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA 89271) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IA 32163) |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: AZ 37874) | |
| 2080P0214X Pediatrics Pediatric Pulmonology (Licence: IL 036-128419) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2016-06-29 |