| NPI | 1285163212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MN 70218) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10847) |
| Enumeration Date | 2017-06-04 |
| Last Update Date | 2025-07-31 |