| NPI | 1174748396 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME92434) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM 2003-0134) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME92434) | |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2015-02-03 |