NPI | 1952491227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MA 59599) |
Additional Taxonomies | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: MA 59599) |
Enumeration Date | 2006-10-14 |
Last Update Date | 2007-07-08 |