| NPI | 1356342398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: NY 170004) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: IL 036103080) |
| 208000000X Pediatrics (Licence: IL 036103080) | |
| 2080P0202X Pediatrics Pediatric Cardiology (Licence: IL 036103080) | |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2022-06-09 |