| NPI | 1528091253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD00040855) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00040855) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: ID M8565) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2021-06-18 |