| NPI | 1104844570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD035394E) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD035394E) |
| 208000000X Pediatrics (Licence: NJ 25MA56953000) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25MA56953000) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-04-17 |