| NPI | 1144285255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KY 42811) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KY 42811) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-04-17 |