NPI | 1164494159 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101036383) |
Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101-036383) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101-036383) | |
Enumeration Date | 2006-02-03 |
Last Update Date | 2024-06-24 |