NPI | 1235227208 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: FL ME 0070741) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME70741) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2022-06-09 |