| NPI | 1841375573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO 24116) |
| Additional Taxonomies | 207RH0005X Internal Medicine, Hypertension Specialist (Licence: CO 24116) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2011-10-07 |