| NPI | 1871596999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: TN 42656) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 42656) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: TN 42656) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2023-04-13 |