NPI | 1639171606 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A44096) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A44096) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: CA A44096) | |
Enumeration Date | 2005-08-10 |
Last Update Date | 2019-03-14 |