NPI | 1447606561 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 75014) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MN 75014) |
Enumeration Date | 2016-05-07 |
Last Update Date | 2023-09-25 |