| NPI | 1033522990 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 88473) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL37004) |
| 207R00000X Internal Medicine (Licence: NC 2017-00413) | |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2023-05-17 |