NPI | 1750301230 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A77780) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A77780) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2021-10-26 |