| NPI | 1235511932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 66832) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 66832) |
| 207R00000X Internal Medicine (Licence: PA MT209561) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 66832) | |
| Enumeration Date | 2015-06-18 |
| Last Update Date | 2025-03-05 |