NPI | 1497043632 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: SC 41075) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2011015242) |
Enumeration Date | 2011-07-20 |
Last Update Date | 2022-07-21 |