| NPI | 1215322540 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CO DR.00068435) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA 149141) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CO DR.00068435) | |
| Enumeration Date | 2015-04-02 |
| Last Update Date | 2024-03-14 |