| NPI | 1801852215 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101231032) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DC MD21982) |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MD D0060870) | |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2007-12-05 |