| NPI | 1801327838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 6269) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY R4408) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2025-06-10 |