| NPI | 1194992834 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 239833) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 229151) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2020-10-03 |