NPI | 1558356402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: FL ME107986) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: IA 33418) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: IA 33418) | |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-33202) | |
Enumeration Date | 2005-09-16 |
Last Update Date | 2011-02-08 |