NPI | 1508817206 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX K3320) |
Additional Taxonomies | 174400000X Specialist |
Enumeration Date | 2006-05-15 |
Last Update Date | 2022-06-08 |