| NPI | 1609160563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME122508) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P26497) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME122508) | |
| Enumeration Date | 2011-06-07 |
| Last Update Date | 2019-11-06 |