NPI | 1568881647 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 2017-00690) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35.139742) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2022-11-08 |