| NPI | 1033341912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-37817) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-37817) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 62798) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 036.130718) | |
| Enumeration Date | 2009-08-11 |
| Last Update Date | 2023-04-18 |