| NPI | 1013907666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME MD22858) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 77492) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 77492) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ME MD22858) | |
| 208000000X Pediatrics (Licence: ME MD22858) | |
| 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: ME MD22858) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2026-02-23 |