NPI | 1366885402 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 54740) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN 54740) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 54740) | |
Enumeration Date | 2013-04-08 |
Last Update Date | 2022-03-15 |