| NPI | 1538322755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35-123984) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2008016323) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2008016323) | |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2014-12-16 |