| NPI | 1912199704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA A106009) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A106009) |
| 207RI0011X Internal Medicine Interventional Cardiology (Licence: CA A106009) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2021-06-08 |