| NPI | 1124009444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD472414) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 219101-1) |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2021-01-25 |