NPI | 1134396252 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101256234) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD039499) |
Enumeration Date | 2008-05-08 |
Last Update Date | 2023-08-09 |