| NPI | 1306921044 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CO DR.0024862) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: CO 24862) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-12-05 |