| NPI | 1619196755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA C163052) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA C163052) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: RI MD13038) | |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2025-12-09 |