| NPI | 1932194966 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY TP797) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 235006-1) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 35503) | |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2022-04-27 |