NPI | 1659679934 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MI 4301098757) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301098757) |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: ZZ r14312) | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2019-06-24 |