NPI | 1033558903 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: LA 334982) |
Additional Taxonomies | 208000000X Pediatrics (Licence: GA 6266) |
208000000X Pediatrics (Licence: LA 334982) | |
208000000X Pediatrics (Licence: UT 9712506-1205) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: LA 334982) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 9712506-8905) | |
Enumeration Date | 2013-06-24 |
Last Update Date | 2023-06-02 |