| NPI | 1073794160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60454758) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD431052) |
| 207R00000X Internal Medicine (Licence: WA MD60454758) | |
| Enumeration Date | 2007-11-17 |
| Last Update Date | 2014-08-11 |