| NPI | 1023074010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: MD D95664) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 39312) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: TN 39312) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MD D95664) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2024-03-07 |