| NPI | 1235305855 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60356847) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A102854) |
| 207R00000X Internal Medicine (Licence: MA 238663) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A102854) | |
| Enumeration Date | 2008-05-03 |
| Last Update Date | 2022-01-01 |