NPI | 1477509032 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD454855) |
Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: PA MD454855) |
207L00000X Anesthesiology (Licence: PA MD454855) | |
Enumeration Date | 2006-05-25 |
Last Update Date | 2019-02-07 |