NPI | 1942560156 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301108086) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301108086) |
2080P0203X Pediatrics, Pediatric Critical Care Medicine (Licence: PA MD464734) | |
Enumeration Date | 2012-05-22 |
Last Update Date | 2020-06-10 |