NPI | 1932423225 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A108116) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CA A108116) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2020-01-24 |