| NPI | 1942514336 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: ZZ 2583893SR) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: ZZ 2583893SR) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2016-05-31 |