NPI | 1295778264 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D0088963) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD047883L) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2025-07-11 |