| NPI | 1821283623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WY 10157A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WY 10157A) |
| 207R00000X Internal Medicine (Licence: IA R8084) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WY TL3033) | |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2022-10-31 |