NPI | 1134771702 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-49533) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4351044256) |
Enumeration Date | 2019-07-12 |
Last Update Date | 2022-05-31 |