NPI | 1891216834 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: AL MD.46474) |
Additional Taxonomies | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: AL MD.46474) |
208000000X Pediatrics (Licence: AL MD.46474) | |
Enumeration Date | 2017-06-29 |
Last Update Date | 2024-08-29 |