| NPI | 1710367404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: IL 036-157516) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 263807) |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2023-09-08 |