NPI | 1275599631 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA 28719) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA 0101054891) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: VA MD34109) | |
Enumeration Date | 2006-04-25 |
Last Update Date | 2015-05-01 |