NPI | 1538109020 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301070894) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301070894) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2017-01-12 |