| NPI | 1679693881 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: OR md25294) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA md00043758) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR md25294) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA md00043758) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |