| NPI | 1811193196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: MN 63719) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125052766) |
| 207R00000X Internal Medicine (Licence: IA 39621) | |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: IA 39621) | |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2018-05-06 |