| NPI | 1508861790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NE 17086) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NE 17086) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2025-11-20 |