| NPI | 1184739955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MN 70682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NH 10876) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 204339) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MA 204339) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: ID M-16960) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MT MED-PHYS-LIC-130242) | |
| 208M00000X Hospitalist (Licence: MA 204339) | |
| 208M00000X Hospitalist (Licence: NH 10876) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2024-02-29 |