| NPI | 1326132101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: VA 0101240539) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD422073) |
| 207R00000X Internal Medicine (Licence: VA 0101240539) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD422073) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101240539) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: PA MD422073) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: PA MD422073) | |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: VA 0101240539) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2013-07-15 |