NPI | 1235153743 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD038928E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD038928E) |
208000000X Pediatrics (Licence: NJ 25MA06250500) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA06250500) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-10-27 |