| NPI | 1679794614 |
|---|---|
| Former Name | MICHAEL VINCENT DI MARIA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301510104) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 51355) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.0051355) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-10-18 |