| NPI | 1548262967 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 065479) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A118930) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: GA 065479) | |
| 208000000X Pediatrics (Licence: VA 0101232796) | |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2023-11-20 |