| NPI | 1558725218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 60140) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 60140) |
| 207R00000X Internal Medicine (Licence: MN 64088) | |
| 207R00000X Internal Medicine (Licence: MN 27786) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: TN 60140) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2025-07-29 |