| NPI | 1801045174 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine Interventional Cardiology (Licence: WV 31829) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 58022) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CT 56607) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2022-12-09 |