NPI | 1124229406 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 54041-20) |
Additional Taxonomies | 207RA0002X Internal Medicine, Adult Congenital Heart Disease (Licence: WI 54041) |
2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 54041-20) | |
Enumeration Date | 2007-05-31 |
Last Update Date | 2023-08-02 |