NPI | 1689808057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 62345) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MO 2013017444) |
208000000X Pediatrics (Licence: KS 04-38923) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: KS 04-38923) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2013017444) | |
Enumeration Date | 2009-05-13 |
Last Update Date | 2020-11-10 |