NPI | 1164406153 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WV 32960) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01058585A) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2018039696) | |
2080S0012X Pediatrics, Sleep Medicine (Licence: MO 2018039696) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2024-01-04 |