NPI | 1063453504 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO R2B83) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO R2B83) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2024-04-25 |