NPI | 1376503714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10007504) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD046853L) |
Enumeration Date | 2006-03-27 |
Last Update Date | 2016-04-25 |