| NPI | 1265864474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA C205876) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C205876) |
| 207R00000X Internal Medicine (Licence: CA C205876) | |
| Enumeration Date | 2013-07-30 |
| Last Update Date | 2026-06-02 |