NPI | 1215902895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DC MD45615) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: DC MD45615) |
Enumeration Date | 2006-02-17 |
Last Update Date | 2018-03-17 |