| NPI | 1639199565 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CA A77168) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A77168) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A77169) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-02-09 |