| NPI | 1760675847 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NE 33460) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: ME 017525) |
| 207R00000X Internal Medicine (Licence: FL ME112604) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 277999) | |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2021-09-03 |