| NPI | 1619947124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OK 23358) |
| Additional Taxonomies | 174400000X Specialist (Licence: OK 23358) |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-02-18 |