| NPI | 1508056441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: LA MD.200764) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: LA 200764) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2022-07-19 |