| NPI | 1902803737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 36693) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IN 01054589A) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: KY 36693) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-12-09 |