| NPI | 1427274679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A89883) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A89883) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-11-02 |