NPI | 1205928058 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10006599) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ MA07455400) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD419538) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2011-12-23 |