| NPI | 1952539447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA 40411) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: PA MT195300) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2015-06-12 |