| NPI | 1568442242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: NC 9701689) |
| Additional Taxonomies | 2080P0201X Pediatrics Pediatric Allergy/Immunology (Licence: NC 9701689) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-05-16 |