| NPI | 1023202306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AL MD36086) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 42631) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 42631) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 42631) | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2021-12-06 |