| NPI | 1790732782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: PA md042792e) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD042792E) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2020-02-28 |