| NPI | 1881802957 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: ME MD19895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301088512) |
| Enumeration Date | 2007-05-20 |
| Last Update Date | 2021-03-02 |