| NPI | 1669760021 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MS 26634) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R2689) |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-07-14 |