| NPI | 1356550966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA c174612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301087619) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301087619) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2022-01-10 |