| NPI | 1093836496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 011172) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA C32624) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: TX E2205) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |