| NPI | 1720061450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 59182) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2019-0474) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NV 12296) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 12296) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A96140) | |
| Enumeration Date | 2005-11-28 |
| Last Update Date | 2023-10-19 |