| NPI | 1447224860 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD422162) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA MD.018641) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2018-12-18 |