NPI | 1730279977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA MD-45367) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TN MD34722) |
208000000X Pediatrics (Licence: IA MD-45367) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN MD34722) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2014-0668) | |
Enumeration Date | 2006-10-16 |
Last Update Date | 2018-08-13 |