NPI | 1609373547 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WI 83582-20) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WI 83582-20) |
Enumeration Date | 2018-04-08 |
Last Update Date | 2025-07-18 |