| NPI | 1518057413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 51653) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD425900) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-11-06 |