| NPI | 1851590525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: WA MD60531821) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: WA MD60531821) |
| 207R00000X Internal Medicine (Licence: WA MD60531821) | |
| 207R00000X Internal Medicine (Licence: PA MT190198) | |
| 207R00000X Internal Medicine (Licence: PA MD447588) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PA MD447588) | |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2016-12-23 |