| NPI | 1962664110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MS 22244) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MS 22244) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-05-22 |