| 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 |