NPI | 1285620203 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.073196) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35.073196) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX P7402) | |
Enumeration Date | 2005-09-26 |
Last Update Date | 2022-05-02 |