| NPI | 1124291075 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD049117L) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD049117L) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2013-04-17 |