NPI | 1245613082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101272247) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MS T-3719) |
208000000X Pediatrics (Licence: VA 0101272247) | |
Enumeration Date | 2015-06-29 |
Last Update Date | 2024-10-02 |