| NPI | 1548200165 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME99388) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036070556) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036070556) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036070556) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2010-12-13 |