| NPI | 1659456168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: PR 16079) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: PR 16079) |
| 207R00000X Internal Medicine (Licence: PR 16079) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-01-26 |