| NPI | 1912188640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: CT 72660) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA 306707) |
| 207R00000X Internal Medicine (Licence: IA 38683) | |
| Enumeration Date | 2007-11-22 |
| Last Update Date | 2022-11-09 |