NPI | 1174815005 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX R7258) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A123480) |
Enumeration Date | 2011-05-11 |
Last Update Date | 2021-12-02 |