| NPI | 1790703643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A40124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A40124) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A40124) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2012-03-05 |