| NPI | 1881633493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 102639) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-31867) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2015-09-04 |