NPI | 1821559949 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OK 45950) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OK 45950) |
Enumeration Date | 2019-03-29 |
Last Update Date | 2025-07-22 |