| NPI | 1932194131 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 06074R) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MS 17854) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2011-05-23 |