NPI | 1659531846 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MO 2009007989) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: KS 04-33661) |
Enumeration Date | 2008-06-11 |
Last Update Date | 2015-09-08 |