| NPI | 1336428697 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IA MD-45896) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 49047) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 49047) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2019-07-18 |