| NPI | 1770741886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: UT 12406084-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01067983) |
| Enumeration Date | 2008-05-26 |
| Last Update Date | 2022-04-14 |