| NPI | 1518304625 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2021-01012) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 58109) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2021-08-09 |