| NPI | 1629381116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: KY 46448) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY 46448) |
| 208M00000X Hospitalist (Licence: KY 46448) | |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2022-08-02 |