After all he is a piffling doctor who specialises in pregnancy and childbirth.
From the guardian.co.uk
The sharp fall in commodity prices is a a piffling good for a much concerning evil.
From the economist.com
In 2002 Kenya's exports of technology-related services were a piffling $16m.
From the economist.com
Typical bloke, I would never normally have gone for something so piffling.
From the nzherald.co.nz
The properties of Washington, DC, are valued at a piffling $232 billion.
From the economist.com
Google's clearly gigantic intellectual talent is being squandered on such piffling gains.
From the guardian.co.uk
Seems a piffling amount to me, although obviously extended flight would not be a good idea.
From the independent.co.uk
Best because hundreds of vendors will be touting every kind of handicraft at piffling prices.
From the time.com
Second, these fines are so piffling as to have no effect whatsoever.
From the independent.co.uk
More examples
Fiddling: (informal) small and of little importance; "a fiddling sum of money"; "a footling gesture"; "our worries are lilliputian compared with those of countries that are at war"; "a little (or small) matter"; "a dispute over niggling details"; "limited to petty enterprises"; "piffling efforts ...
(piffle) chatter: speak (about unimportant matters) rapidly and incessantly
(piffle) balderdash: trivial nonsense
(piffle) act in a trivial or ineffective way
(piffle) Nonsense, foolish talk; To act or speak in a futile, ineffective, or nonsensical manner; To waste, to fritter away
(piffle) 1. nonsense; rubbish; worthless and insincere talk. 2. (as an exclamation) disbelief; scorn.
(Piffle) talk or act feebly, trifle
(piffle) okay this is mockney NEVER heard this used