| NPI | 1962517433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME106874) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101243472) |
| 207R00000X Internal Medicine (Licence: MD D0059614) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: LA MD.200418) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2016-08-09 |