NPI | 1003888132 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G47262) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G47262) |
Enumeration Date | 2006-02-02 |
Last Update Date | 2024-04-11 |