| NPI | 1952364788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX 207RC0001X) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TX H2637) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2012-01-06 |