| NPI | 1871869990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: AL PENDING) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: AL PENDING) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2020-01-23 |