| NPI | 1295995751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A109528) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A109528) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2024-04-27 |