NPI | 1699123927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: GA 103165) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161419) |
208000000X Pediatrics (Licence: GA 103165) | |
2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A161419) | |
Enumeration Date | 2016-05-26 |
Last Update Date | 2025-03-02 |