| NPI | 1306820014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NH 16770) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 52083) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2014-09-26 |