NPI | 1104083260 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101272743) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2016013255) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016013255) | |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-38842) | |
Enumeration Date | 2008-05-16 |
Last Update Date | 2025-08-13 |