| NPI | 1770813719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 201501848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2015-01848) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 37368) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC 37368) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2023-08-10 |