| NPI | 1154468429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CO 43437) |
| Additional Taxonomies | 207RH0005X Internal Medicine Hypertension Specialist (Licence: CO 43437) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2012-09-11 |