NPI | 1720050313 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: RI MD8005) |
Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MA 75512) |
Enumeration Date | 2006-02-07 |
Last Update Date | 2014-05-30 |