| NPI | 1568886604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PR 19639) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PR 19639) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PR 19639) | |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2024-02-07 |