| NPI | 1487975124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MA 233978) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 233978) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 233978) | |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2018-12-04 |