NPI | 1790361426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IL 036.170936) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.078500) |
208000000X Pediatrics (Licence: IL 125.078500) | |
Enumeration Date | 2021-03-23 |
Last Update Date | 2025-05-16 |