| NPI | 1780926782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WA MD60587848) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60587848) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD60587848) | |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2023-12-05 |