| NPI | 1922056423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: KS 0415262) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: KS 0415262) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2021-05-21 |