NPI | 1790809168 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AZ 42040) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301085419) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301085419) | |
390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301085419) | |
Enumeration Date | 2007-03-19 |
Last Update Date | 2010-11-12 |