NPI | 1043206162 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA 89271) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: IA 32163) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AZ 37874) | |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IL 036-128419) | |
Enumeration Date | 2005-09-23 |
Last Update Date | 2016-06-29 |