NPI | 1417994435 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL 45851) |
Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: FL 45851) |
Enumeration Date | 2006-05-31 |
Last Update Date | 2018-06-19 |