| NPI | 1104002484 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M9614) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M9614) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX M9614) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2022-01-04 |