| NPI | 1902245004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: SC 85879) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA R-9852) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2021-08-12 |