NPI | 1598748295 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD055284L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA MD055284L) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 037687) | |
Enumeration Date | 2005-11-28 |
Last Update Date | 2013-04-16 |