NPI | 1659456390 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AR E-13893) |
Additional Taxonomies | 208000000X Pediatrics (Licence: AR E-13893) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: CO 35991) | |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: AR E-13893) | |
Enumeration Date | 2006-10-25 |
Last Update Date | 2022-06-01 |