NPI | 1619061389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: WA MD00019575) |
Additional Taxonomies | 2080P0201X Pediatrics, Pediatric Allergy/Immunology (Licence: WA MD00019575) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2021-06-17 |