NPI | 1902808298 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME87739) |
Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME87739) |
207RI0011X Internal Medicine, Interventional Cardiology (Licence: FL ME87739) | |
Enumeration Date | 2005-06-01 |
Last Update Date | 2019-11-27 |