| NPI | 1811926322 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: TN 37572) |
| Additional Taxonomies | 207RC0001X Internal Medicine Clinical Cardiac Electrophysiology (Licence: AL 28643) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2022-02-07 |