| NPI | 1538406400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NV 10296) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NV 10296) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NV 10296) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |