| NPI | 1700116688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD 60211765) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A110331) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2013-07-16 |