| NPI | 1598142515 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME135340) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN#22198) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2025-03-31 |