| NPI | 1730472382 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2020-00405) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN16128) |
| 207R00000X Internal Medicine (Licence: FL ME119948) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME119948) | |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-06-08 |