| NPI | 1831159789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TX G1282) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TX G1282) |
| 174400000X Specialist (Licence: TX G1282) | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2022-08-02 |