| NPI | 1801150529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 58372) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A133209) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2023-01-12 |