NPI | 1265548994 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD448317) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA ML20008453) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD448317) | |
Enumeration Date | 2006-08-23 |
Last Update Date | 2024-03-06 |