NPI | 1639625486 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME174292) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028651) |
207R00000X Internal Medicine (Licence: NY 298794) | |
Enumeration Date | 2016-08-31 |
Last Update Date | 2025-07-31 |