NPI | 1194345983 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.147974) |
Additional Taxonomies | 208D00000X General Practice (Licence: OH 35.147974) |
208000000X Pediatrics (Licence: OH 35.147974) | |
Enumeration Date | 2020-04-21 |
Last Update Date | 2023-12-23 |