| NPI | 1265627095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WA MD60516219) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60516219) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2015-04-20 |