| NPI | 1609082312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A91234) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A91234) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2010-0573) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2021-11-11 |