NPI | 1730277658 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A91217) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A91217) |
Enumeration Date | 2006-10-10 |
Last Update Date | 2022-09-14 |