| NPI | 1245360007 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CO 43577) |
| Additional Taxonomies | 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: CO 43577) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-05-10 |