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 |