| NPI | 1225239619 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: WI 51691) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WI 51691) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WI 51691) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2024-03-13 |