| NPI | 1700987781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: VA 0101254787) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: HI MD-11955) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2020-10-15 |