| NPI | 1255398368 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2006034478) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 04523R) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-32236) | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2018-03-17 |