| NPI | 1053376194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 2008-01097) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48208) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2008-01097) | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2021-04-28 |