| NPI | 1326246380 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CT 69142) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 69142) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 290097) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NY 270097) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NY 270097) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2021-11-04 |