| NPI | 1679722854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ME MD19302) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 240219) |
| 207R00000X Internal Medicine (Licence: MA 218081) | |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2021-03-02 |