| NPI | 1598963902 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25MB08781400) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DC MD036745) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2019-11-12 |