| NPI | 1912053695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101273788) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KS 04-36740) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2019042370) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2021-12-23 |