| NPI | 1184955767 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A110351) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A110351) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2021-11-17 |