| NPI | 1578695987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 145455-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 145455-1) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 145455) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-07-09 |