| NPI | 1710013495 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MA 231436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA L-224476) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MA 231436) | |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2016-02-25 |