| NPI | 1700070117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: SC 87787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 243176) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2022-08-04 |