| NPI | 1154558658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0102204898) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0102204898) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: VA 0102204898) | |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2022-08-12 |