| NPI | 1235126004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA C53950) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA C53950) |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2011-11-10 |