NPI | 1821178237 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: TX K3813) |
Additional Taxonomies | 2080P0214X Pediatrics Pediatric Pulmonology (Licence: MO 2013025700) |
2080P0214X Pediatrics Pediatric Pulmonology (Licence: KS 04-36837) | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2014-07-21 |