| NPI | 1669769279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 292387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 74100) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: GA 74100) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 292387) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 74100) | |
| Enumeration Date | 2011-07-03 |
| Last Update Date | 2022-06-17 |