| NPI | 1790741783 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: FL ME0070877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2023-01430) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: NC 2023-01430) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-06-20 |