| NPI | 1679858567 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 66973) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV ED0224A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA 04565) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 66973) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2020-03-02 |