| NPI | 1366403818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 36570) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 36570) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2008-12-09 |