| NPI | 1134103542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301055452) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301055452) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301055452) | |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2009-10-08 |