| NPI | 1215424759 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: AZ 66602) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 11405422-1205) |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2024-05-23 |