| NPI | 1205884178 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME110965) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 00021666) |
| 207R00000X Internal Medicine (Licence: WI 49357) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-04-11 |