NPI | 1538362371 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C2-0012296) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OT 012099) |
208000000X Pediatrics (Licence: DE C20009385) | |
208000000X Pediatrics (Licence: DE C7-0003822) | |
Enumeration Date | 2007-06-08 |
Last Update Date | 2018-03-17 |