| NPI | 1699003590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2014036402) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-37861) |
| Enumeration Date | 2009-12-03 |
| Last Update Date | 2015-07-21 |