| NPI | 1669835617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA 20713) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL OS16050) |
| 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA 20713) | |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-06-16 |