| NPI | 1154430205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 38210) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL 21437) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-07-08 |