| NPI | 1174746200 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 50524) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 38663) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 25437) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2012-10-11 |