| NPI | 1962422998 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TN MD0000034829) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN MD0000024782) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2014-01-27 |