NPI | 1386930238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-133098) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35-133098) |
Enumeration Date | 2011-06-20 |
Last Update Date | 2024-09-10 |