| NPI | 1013293620 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: OR MD187656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD187656) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: OR MD187656) | |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2020-01-14 |