| NPI | 1750764452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 67979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 67979) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 67979) | |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2026-06-24 |