| NPI | 1356305429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MN 33250) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 33250) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 33250) | |
| 208000000X Pediatrics (Licence: MN 33250) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 33250) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-11-10 |