| NPI | 1174688360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2006034487) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006034487) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX R0440) | |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2017-03-06 |