| NPI | 1144276015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 239364) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 239364) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2010-05-07 |