| 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) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 66602) | |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2025-09-12 |