| NPI | 1104142744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101265236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101265236) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101265236) | |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2021-11-23 |