NPI | 1124333059 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PR 20959) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 48977) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 48977) | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 48977) | |
Enumeration Date | 2010-08-16 |
Last Update Date | 2018-08-31 |