| NPI | 1952491227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MA 59599) |
| Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 59599) |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2007-07-08 |