| NPI | 1417141789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 57947) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.096683) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2019-08-23 |