| NPI | 1407260490 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: FL ME139322) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-10099) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2024-05-14 |