NPI | 1073593877 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 47796) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 47796) |
Enumeration Date | 2006-01-18 |
Last Update Date | 2020-10-27 |