NPI | 1699123927 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A161419) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A161419) |
Enumeration Date | 2016-05-26 |
Last Update Date | 2023-08-02 |