| NPI | 1225009632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 70701) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 70701) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 70701) | |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2020-10-02 |