| NPI | 1740612258 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MI 4301119018) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT204032) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2019-07-03 |