| NPI | 1417273129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60748384) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 8637594-1205) |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2017-07-31 |