| NPI | 1841601986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DC MTL002120) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: ZZ 363439) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2014-07-08 |