| NPI | 1104965193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A119680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2005-0248) |
| 207R00000X Internal Medicine (Licence: CA HM274Z) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A119680) | |
| 207R00000X Internal Medicine (Licence: CA A119680) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-05-02 |