NPI | 1457373284 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: OH 35.089739) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.089739) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2021-10-15 |