| NPI | 1083642987 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WY 15222A) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR MD164001) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX R6642) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2022-12-07 |