NPI | 1548270457 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL OS5874) |
Additional Taxonomies | 208000000X Pediatrics (Licence: FL OS5874) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2014-12-05 |