| NPI | 1154491819 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA MD15198R) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL TRN10078) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2014-01-15 |