| NPI | 1770636854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-33570) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KS 04-33570) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD00040025) | |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2021-11-17 |