| NPI | 1962513705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AL 24810) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AL 24810) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AL 24810) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-04-01 |