| NPI | 1487626388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101-236464) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-236464) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2009-12-11 |