| NPI | 1982699260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA 02934) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IA DO-02934) |
| 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IA DO-02934) | |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2018-05-29 |