NPI | 1467411389 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD436181) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 156206) |
Enumeration Date | 2006-03-20 |
Last Update Date | 2013-04-16 |