| NPI | 1720190960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: HI 5840) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: HI 5840) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: HI 5840) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-08-31 |