| NPI | 1932514858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: SC 95481) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101021270) |
| 207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology (Licence: AZ 009640) | |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2026-03-03 |