NPI | 1023261989 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD60349148) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD60349148) |
Enumeration Date | 2008-10-23 |
Last Update Date | 2022-10-27 |