NPI | 1144305491 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD436731) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO 43893) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2024-12-16 |