| NPI | 1538333729 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A84184) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A84184) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 61298) | |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2026-06-01 |