NPI | 1912326422 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: TX T6208) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX T6208) |
Enumeration Date | 2014-04-11 |
Last Update Date | 2024-08-05 |