NPI | 1831166529 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NJ 25MA04275300) |
Additional Taxonomies | 174400000X Specialist (Licence: NJ 25MA04275300) |
Enumeration Date | 2006-03-02 |
Last Update Date | 2025-01-21 |