NPI | 1376690172 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2010-00604) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 45327) |
390200000X Student in an Organized Health Care Education/Training Program | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2010-00604) | |
Enumeration Date | 2007-01-04 |
Last Update Date | 2010-05-11 |