| NPI | 1346660768 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0116034628) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2017-01738) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2024-06-24 |