NPI | 1669573549 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR MD179837) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088394) |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2009-0597) | |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-11-06 |