| NPI | 1114920618 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 25435) |
| Additional Taxonomies | 174400000X Specialist (Licence: AZ 25435) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2021-05-10 |