NPI | 1750649919 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics Pediatric Critical Care Medicine (Licence: CA A168488) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CA A168488) |
2080P0202X Pediatrics Pediatric Cardiology (Licence: TX 3277) | |
2080P0202X Pediatrics Pediatric Cardiology (Licence: CA A168488) | |
Enumeration Date | 2012-04-25 |
Last Update Date | 2024-04-11 |