NPI | 1215125208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T3461) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-39416) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2016032920) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 37499) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0057261) | |
Enumeration Date | 2007-10-04 |
Last Update Date | 2022-04-19 |