| NPI | 1861745721 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2016013816) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R9406) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2016013816) | |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2021-02-28 |