NPI | 1598746620 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: MA 209708) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 209708) |
208000000X Pediatrics (Licence: MA 209708) | |
Enumeration Date | 2005-11-07 |
Last Update Date | 2019-07-19 |