| NPI | 1578915591 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME165661) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 32284) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2024-07-22 |