NPI | 1487943544 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 080415) |
Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 080415) |
Enumeration Date | 2011-03-29 |
Last Update Date | 2021-04-28 |