| NPI | 1972865574 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: LA 322475) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10043110) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: LA 322475) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2022-04-27 |