| NPI | 1124098496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX P6237) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD419095) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2017-05-03 |