| NPI | 1962487447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 209363) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 209363) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 209363) | |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2013-04-04 |