NPI | 1245610229 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 288607) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP03507) |
Enumeration Date | 2015-06-04 |
Last Update Date | 2021-06-24 |