| NPI | 1316990666 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: WA MD00041066) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WA MD00041066) |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: ID M-8783) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2021-04-05 |