| NPI | 1366706111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 2020-00794) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2020-00794) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 79464) | |
| Enumeration Date | 2012-06-26 |
| Last Update Date | 2024-06-18 |