NPI | 1760451868 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NC 9400429) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 9400429) |
Enumeration Date | 2006-03-14 |
Last Update Date | 2024-07-16 |