| NPI | 1932196938 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 77836) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NH 14865) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 77836) | |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2013-05-02 |