| NPI | 1124431051 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 70962) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 7197) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2025-05-08 |