| NPI | 1063889640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 72387) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WV 28355) |
| Enumeration Date | 2015-08-30 |
| Last Update Date | 2024-06-10 |