NPI | 1689695447 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA C52608) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036-107892) |
Enumeration Date | 2006-07-21 |
Last Update Date | 2021-12-09 |