| NPI | 1679899074 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: GA 72485) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX N7026) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: GA 072485) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: GA 072485) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2021-02-26 |