NPI | 1295816551 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MA 236616) |
Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: WA MD00035368) |
Enumeration Date | 2006-10-17 |
Last Update Date | 2009-08-18 |