| NPI | 1851497960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA C43089) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA C43089) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-09 |