| 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 |