NPI | 1538188776 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME88675) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ME88675) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2022-04-15 |