| NPI | 1174647036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 221398) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036-125606) |
| 207R00000X Internal Medicine (Licence: MA 221398) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036-125606) | |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2019-01-29 |