NPI | 1477550556 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD37152) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX K4717) |
Enumeration Date | 2005-07-05 |
Last Update Date | 2022-03-18 |