NPI | 1770592891 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD029167E) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NJ 25MA04512500) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA04512500) | |
208000000X Pediatrics (Licence: PA MD029167E) | |
Enumeration Date | 2006-08-07 |
Last Update Date | 2013-05-21 |