| NPI | 1477796258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 310171) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: GA 71666) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-09-06 |