| NPI | 1891919312 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301085994) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AZ 54455) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 54455) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-11-22 |