| NPI | 1548643778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 74974) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036177941) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036177941) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 74974-20) | |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2026-04-09 |