| NPI | 1770790651 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: CA A111313) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD 22187) |
| 207R00000X Internal Medicine (Licence: CA A111313) | |
| 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CA A111313) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-06-10 |