| NPI | 1811420458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CA A186821) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 1013663) |
| 207R00000X Internal Medicine (Licence: CA A186821) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1013663) | |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CA A186821) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2025-05-25 |