| NPI | 1417184029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2018009439) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2018009439) |
| 208D00000X General Practice (Licence: MO 2011039549) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2022-08-23 |