| NPI | 1811542723 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: CA A184264) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A184264) |
| 208000000X Pediatrics (Licence: CA A184264) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2024-04-11 |