| NPI | 1821372228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 247263) |
| Additional Taxonomies | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: ZZ 4125783) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NH 17394) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2020-10-02 |