| NPI | 1124218607 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: AZ 38180) |
| Additional Taxonomies | 163WC3500X Registered Nurse Cardiac Rehabilitation (Licence: AZ 38180) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AZ 38180) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-07-27 |