| NPI | 1063533115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA 025209) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA 025209) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA 025208) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2013-12-06 |