| NPI | 1194729053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0102202087) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 5101013212) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0102202087) | |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2020-02-10 |