| NPI | 1548262967 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology (Licence: GA 065479) | 
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 065479) | 
| 208000000X Pediatrics (Licence: VA 0101232796) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A118930) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 065479) | |
| Enumeration Date | 2005-08-15 | 
| Last Update Date | 2024-10-03 |