NPI | 1770506057 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: VA 0101248897) |
Additional Taxonomies | 2080I0007X Pediatrics, Clinical & Laboratory Immunology (Licence: VA 0101248897) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: TN 39798) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2021-11-02 |