| NPI | 1417360587 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OR MD210110) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61277219) |
| 207R00000X Internal Medicine (Licence: OR MD210110) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD210110) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD61277219) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WA MD61277219) | |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2023-04-26 |