| NPI | 1700312840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A185828) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10060319) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2025-07-17 |