NPI | 1265676274 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA A88084) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A88084) |
Enumeration Date | 2009-04-22 |
Last Update Date | 2013-06-08 |