| NPI | 1922449339 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: MA 1013316) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 62973) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: MA 1013316) | |
| 282N00000X General Acute Care Hospital (Licence: DC 001636) | |
| Enumeration Date | 2013-07-13 |
| Last Update Date | 2023-03-15 |