NPI | 1144461880 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME173589) |
Additional Taxonomies | 174400000X Specialist (Licence: IL 036118615) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2025-04-17 |