| NPI | 1669573549 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: OR MD179837) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088394) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NM MD2009-0597) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-11-06 |