NPI | 1629168893 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NY 228460) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 228460) |
Enumeration Date | 2006-10-16 |
Last Update Date | 2011-09-20 |