NPI | 1578722997 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME123202) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NY 247060) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 48930) | |
Enumeration Date | 2008-06-02 |
Last Update Date | 2016-06-09 |