NPI | 1285730093 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CA G13225) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G13225) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2008-07-22 |