| NPI | 1811905409 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: TN 44108) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 44108) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: TN 44108) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-01-07 |