| NPI | 1275599631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA 28719) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101054891) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA MD34109) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2015-05-01 |