| NPI | 1265545701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 04615R) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 04615R) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2009-07-09 |