NPI | 1871538033 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MO 2025013242) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A78517) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A78517) | |
Enumeration Date | 2006-06-19 |
Last Update Date | 2025-09-03 |