NPI | 1295116762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AL MD.37032) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.37032) |
Enumeration Date | 2015-06-10 |
Last Update Date | 2022-02-01 |