NPI | 1417110339 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 294663) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX N0719) |
Enumeration Date | 2008-07-10 |
Last Update Date | 2022-09-23 |