| NPI | 1437595154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 279850) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A142808) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2024-03-20 |