| NPI | 1528059862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101247596) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX M2328) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD421833) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101247596) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX M2328) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD421833) | |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2022-07-15 |