NPI | 1437309028 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MS 23783) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX BP 10048817) |
Enumeration Date | 2008-09-19 |
Last Update Date | 2022-07-21 |