| NPI | 1295884211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NC 93-00772) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 93-00772) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2012-06-05 |