| NPI | 1396749701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00022810) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD00022810) |
| 207R00000X Internal Medicine (Licence: WA MD00022810) | |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2012-12-06 |