| NPI | 1588808646 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MT MED-PHYS-LIC-86861) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: MT MED-PHYS-LIC-86861) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2026-01-15 |