| NPI | 1902829021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM 89-130) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 89130) |
| 2085N0904X Radiology, Nuclear Radiology (Licence: NM 89130) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-03-29 |