| NPI | 1164622577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM MD2023-0616) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CO DR.0055565) |
| 208000000X Pediatrics (Licence: MI 4301098010) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MI 4301098010) | |
| 208000000X Pediatrics (Licence: WA ML20008947) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2023-11-01 |