NPI | 1043673106 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MT219698) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME139419) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2020-06-24 |