| NPI | 1932423225 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A108116) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: CA A108116) |
| Enumeration Date | 2010-03-16 |
| Last Update Date | 2020-01-24 |