| NPI | 1497081830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.098585) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.098585) |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2015-07-15 |