NPI | 1083009609 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A143877) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A143877) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-04-11 |