| NPI | 1851596068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 201000484) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2010-00484) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2018-01-23 |