| NPI | 1699072637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: NC 2021-00364) |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: ZZ 18269) |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NC 2021-00364) | |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2024-08-05 |