| NPI | 1255541876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A142715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 24510) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 74621-20) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A142715) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2021-02-02 |