| NPI | 1760693873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MO 2009012124) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2006017318) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MO 2009012124) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-08-03 |