| NPI | 1790789428 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 11945) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NV 20030188) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NV 20030188) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NV 11945) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2010-08-30 |