| NPI | 1194878512 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A049421) |
| Additional Taxonomies | 207KA0200X Allergy & Immunology, Allergy (Licence: CA A49421) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2016-08-17 |