| NPI | 1760571954 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA G67169) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA G67169) |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G67169) | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2018-07-26 |