| NPI | 1790048528 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MI 5101020056) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: MI 5101020056) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2020-01-09 |