| NPI | 1649261520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CO 53424) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 224348) |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2014-04-04 |