| NPI | 1679533251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60034383) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX H9272) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2011-05-06 |