NPI | 1437375649 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 51919) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OR MD27665) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2024-03-12 |