| NPI | 1285977082 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 265916) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MA 265916) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ME MD24203) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2021-02-08 |