| NPI | 1770663924 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CO 63095) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TX N0546) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD150736) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OR MD150736) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-04-01 |