| NPI | 1467716159 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WV 3577) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101019929) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MD H0090571) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2021-01-14 |