NPI | 1164468583 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 24910) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 24910) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2009-07-28 |