NPI | 1194757948 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 26707) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 49579) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2013-09-20 |