NPI | 1346276201 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME78857) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL FLME0078857) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2021-02-24 |