NPI | 1437595238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD472398) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 62323) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-05-20 |
Last Update Date | 2022-12-21 |