| NPI | 1033123658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: ID M-12933) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 51784071205) |
| 207R00000X Internal Medicine (Licence: MO 2011018390) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ID M12933) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2016-01-27 |