NPI | 1912299967 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX U8092) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10040960) |
207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: TN 57868) | |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: IN 11018024A) | |
Enumeration Date | 2011-05-10 |
Last Update Date | 2024-05-21 |