| NPI | 1346684099 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PR 19354) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 19354) |
| Enumeration Date | 2013-04-24 |
| Last Update Date | 2022-07-12 |