| NPI | 1790124360 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WI 81333) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 255862) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 81333) | |
| Enumeration Date | 2013-06-17 |
| Last Update Date | 2024-03-19 |