| NPI | 1740493113 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 54753) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AZ 36824) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-01-21 |