NPI | 1326023607 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME104590) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: SC 27371) |
Enumeration Date | 2005-12-09 |
Last Update Date | 2018-06-15 |