NPI | 1679794614 |
---|---|
Former Name | MICHAEL VINCENT DI MARIA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO CDRH.0051355) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO CDRH.0051355) |
Enumeration Date | 2007-05-01 |
Last Update Date | 2025-08-27 |