| NPI | 1790715308 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WV 27282) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: IA 38296) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2016-10-10 |