| NPI | 1548643778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 74974) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 74974-20) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2022-05-25 |