NPI | 1144323213 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G63730) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G63760) |
Enumeration Date | 2006-09-06 |
Last Update Date | 2011-08-08 |