| NPI | 1215083837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO 46315) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 46315) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-03-17 |