NPI | 1154394385 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G199196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA G199196) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME72338) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D80618) | |
Enumeration Date | 2006-02-08 |
Last Update Date | 2025-02-04 |