NPI | 1730338054 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301094098) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036.121521) |
208000000X Pediatrics (Licence: MI 4301094098) | |
Enumeration Date | 2008-09-10 |
Last Update Date | 2012-04-11 |