NPI | 1609054394 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301106717) |
Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 242911) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 62645) | |
Enumeration Date | 2008-02-05 |
Last Update Date | 2021-02-23 |