NPI | 1932291762 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: DE C10008012) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA MD429591) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: MD D0065926) | |
Enumeration Date | 2006-09-29 |
Last Update Date | 2011-10-12 |