| NPI | 1942380373 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: MN 53291) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 53291) |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: TX K1982) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: IA 41451) | |
| 2080P0202X Pediatrics, Pediatric Cardiology (Licence: WI 55005) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-12 |