| NPI | 1619061389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD00019575) |
| Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WA MD00019575) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2021-06-17 |