| NPI | 1669522173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME113319) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME113319) |
| 207R00000X Internal Medicine (Licence: MA 224471) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-12-08 |