| NPI | 1760755714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2024-03053) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NC 2024-03053) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IA MD-45275) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: PA MD475748) | |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: PA MD475748) | |
| 207R00000X Internal Medicine (Licence: MA 261622) | |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2025-10-17 |