| NPI | 1386671766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2018-0910) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM MD2018-0910) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 54395) | |
| 207R00000X Internal Medicine (Licence: GA 054395) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2025-03-20 |