| NPI | 1144310038 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 46959) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD00030546) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2018-03-17 |