| NPI | 1336126192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX k9363) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: TX K9363) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2021-01-06 |