| NPI | 1265638639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: LA MD.204036) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.204036) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.204036) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2019-04-03 |