NPI | 1689746935 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: NM 81-90) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: TX F1812) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2024-07-16 |