| 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)  | 
| Enumeration Date | 2019-08-07 | 
| Last Update Date | 2024-12-26 |