NPI | 1427542117 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD61175024) |
Additional Taxonomies | 208000000X Pediatrics (Licence: WA MD61175024) |
Enumeration Date | 2018-06-18 |
Last Update Date | 2024-07-25 |