| NPI | 1831381755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: KY 47304) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: VA 0101257049) |
| Enumeration Date | 2007-08-14 |
| Last Update Date | 2022-08-02 |