| NPI | 1356526156 |
|---|---|
| Other Name | K.C. CUMBERMACK |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY 44022) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 060362) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2011-11-04 |