| NPI | 1952411704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 047490) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 215861) |
| 246XC2901X Spec/Tech, Cardiovascular, Cardiovascular Invasive Specialist (Licence: MA 215861) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 047490) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2009-06-23 |