| NPI | 1366533028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MA 78025) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NH 8963) |
| 207R00000X Internal Medicine (Licence: MA 78025) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 78025) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NH 8963) | |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-06-11 |