NPI | 1912962200 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: PA MD073398L) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD073398L) |
Enumeration Date | 2006-04-19 |
Last Update Date | 2020-08-21 |