| NPI | 1689164121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A165644) |
| Additional Taxonomies | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A165644) |
| 207R00000X Internal Medicine (Licence: CA A165644) | |
| Enumeration Date | 2018-05-10 |
| Last Update Date | 2026-09-02 |