NPI | 1417141789 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AZ 57947) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35.096683) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2019-08-23 |