NPI | 1023095205 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 177699) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 177699) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2022-02-02 |