NPI | 1326061367 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD051280L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD051280L) |
Enumeration Date | 2006-07-25 |
Last Update Date | 2013-04-17 |