NPI | 1295266971 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0075699) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 12233987-1205) |
Enumeration Date | 2017-03-23 |
Last Update Date | 2025-09-02 |