| NPI | 1831138130 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101253248) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 058776) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2013-05-14 |