| NPI | 1043582315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60712855) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A123177) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A123177) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2017-07-31 |