| NPI | 1710241013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: GA 98904) |
| Additional Taxonomies | 2080P0202X Pediatrics Pediatric Cardiology (Licence: FL ME120671) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2024-05-22 |