| NPI | 1437247582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: UT 6947023-1205) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 6947023-1205) |
| 208000000X Pediatrics (Licence: UT 69470231205) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2022-07-27 |