| NPI | 1790074508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 53063) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 282859) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 53063) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 282859) | |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2022-10-12 |