| NPI | 1619225208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2020013458) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125060970) |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2020-07-22 |