| NPI | 1407065469 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA 38252) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA R-7448) |
| 208000000X Pediatrics (Licence: IA 38252) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-03-20 |