| NPI | 1437369840 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DE C10008678)  | 
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD426555)  | 
| Enumeration Date | 2007-05-23 | 
| Last Update Date | 2011-09-26 |