NPI | 1952796260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A185844) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301505804) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2015-04-02 |
Last Update Date | 2023-05-19 |