| NPI | 1235190125 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME123603) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MI 4301102597) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 34342) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301102597) | |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2019-08-02 |