| NPI | 1639152028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NC 2008-01617) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35053021H) |
| 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35053021) | |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2015-01-08 |