NPI | 1184286270 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2022025583) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 05-51694) |
Enumeration Date | 2019-06-28 |
Last Update Date | 2025-09-15 |