| NPI | 1669557195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 074096) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VA 0101238715) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2016-06-02 |