| NPI | 1386872745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2017-0102) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248846) |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2022-07-21 |