NPI | 1922186311 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NJ 25ma05366500) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NJ 25MA05366500) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2017-05-02 |