| NPI | 1265572481 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-33682)  | 
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OK 24539)  | 
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO MO-2009008971)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS KSDEA-FV1379646)  | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-33682)  | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2009008971)  | |
| Enumeration Date | 2007-02-07 | 
| Last Update Date | 2025-05-08 |