| NPI | 1477697068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NC 2010-01215) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MD P17108 (UMP #)) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2021-05-10 |