NPI | 1598963902 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NJ 25MB08781400) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: DC MD036745) |
Enumeration Date | 2007-07-06 |
Last Update Date | 2019-11-12 |