NPI | 1073927786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D94647) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 32413) |
208000000X Pediatrics (Licence: PR 32413) | |
Enumeration Date | 2014-06-20 |
Last Update Date | 2023-10-25 |