| NPI | 1629268289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR E-6670) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085877) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2014-03-28 |