| NPI | 1790978252 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MO 2009015779) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: MO 2009015779) |
| Enumeration Date | 2007-08-19 |
| Last Update Date | 2020-10-23 |