NPI | 1760755714 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: PA MD475748) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 261622) |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD475748) | |
207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA MD-45275) | |
Enumeration Date | 2012-02-21 |
Last Update Date | 2021-09-27 |