NPI | 1760700108 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: NY 291866) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 291866) |
Enumeration Date | 2010-05-10 |
Last Update Date | 2023-07-03 |