| NPI | 1932436508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: FL ME177120) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL ME177120) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME177120) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME177120) | |
| 207R00000X Internal Medicine (Licence: FL ME177120) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2025-12-11 |