| NPI | 1790769479 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CA 58554) |
| Additional Taxonomies | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: IN 01077810A) |
| Enumeration Date | 2005-12-06 |
| Last Update Date | 2017-01-17 |