NPI | 1255323440 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: OH 35054373) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35054373) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35054373) | |
Enumeration Date | 2005-08-16 |
Last Update Date | 2024-09-18 |