NPI | 1912283102 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC 61160) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 28721) |
207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 61160) | |
Enumeration Date | 2011-11-01 |
Last Update Date | 2022-03-02 |