| NPI | 1104003664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME122226) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 001574) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2022-02-11 |