| NPI | 1902967961 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MD D0070911) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MD D0070911) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DC MD040017) | |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2018-03-22 |