| NPI | 1629020482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: OH 35-05-4455) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OH 35.054455) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: KY TP063) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2024-03-08 |