NPI | 1164454971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD043666E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD043666E) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2013-04-16 |