| NPI | 1790929859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: GA 076035) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OK 28989) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2022-07-21 |