NPI | 1932194131 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: LA 06074R) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MS 17854) |
Enumeration Date | 2005-09-13 |
Last Update Date | 2011-05-23 |