| NPI | 1053610642 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 81838) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC LL33743) |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2023-05-04 |