| NPI | 1851755375 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 82114) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME140479) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: WI 82114) | |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2023-11-15 |