| NPI | 1790717429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 25496) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 25496) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 25496) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: VA 0101050765) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: VA 0101050765) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-05-23 |