| NPI | 1578537718 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-40616) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX P0510) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX P0510) | |
| 246X00000X Spec/Tech, Cardiovascular (Licence: KS 04-40616) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2023-10-31 |