NPI | 1154388254 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WV 24475) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0063025) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WV 24475) | |
Enumeration Date | 2006-05-01 |
Last Update Date | 2021-04-21 |