| NPI | 1871859611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO DR.0064907) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA 20A13058) |
| Enumeration Date | 2012-04-05 |
| Last Update Date | 2021-04-30 |