| NPI | 1164718433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CO DR.0062722) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060134) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO DR.0062722) | |
| Enumeration Date | 2011-06-24 |
| Last Update Date | 2021-11-15 |