NPI | 1528153756 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA G84720) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX J7997) |
208000000X Pediatrics (Licence: TX J7997) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX J7997) | |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-03-12 |