| NPI | 1184690703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 039899) |
| Additional Taxonomies | 202K00000X (Licence: CT 039899) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 039899) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 039899) | |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2019-03-12 |