NPI | 1891216834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: AL MD.46474) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 4301502625) |
208000000X Pediatrics (Licence: AL MD.46474) | |
2080P0202X Pediatrics Pediatric Cardiology (Licence: MI 4301502625) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2023-06-16 |