NPI | 1902291693 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO CDRH.0068014) |
Additional Taxonomies | 208000000X Pediatrics (Licence: CO CDRH.0068014) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2024-11-22 |