| NPI | 1467433524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AL 12166) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS 15904) |
| 174400000X Specialist (Licence: AL 12166) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2019-05-06 |