NPI | 1326579517 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 67096) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 67096) |
Enumeration Date | 2017-03-21 |
Last Update Date | 2023-05-30 |