NPI | 1649258302 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NV 6998) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NV 6998) |
Enumeration Date | 2006-01-04 |
Last Update Date | 2023-03-07 |