| NPI | 1265761951 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60551261) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A114056) |
| 207R00000X Internal Medicine (Licence: WA MD60551261) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60551261) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2022-07-21 |