| NPI | 1235252313 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OR MD150575) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR MD150575) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR MD150575) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-05-03 |