| NPI | 1225002587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 198511) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME80444) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD61116789) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME80444) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WA MD61116789) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 198511) | |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2023-07-22 |