| NPI | 1942356605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: OR MD161212) |
| Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MD D0062047) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-10-04 |