NPI | 1780046912 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NH 35175) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DC MD048286) |
Enumeration Date | 2016-03-26 |
Last Update Date | 2025-09-27 |