| NPI | 1619965381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 068459) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2005-00874) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 068459) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2015-09-17 |